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Table 2 Diagnostic measures of single PETS ranked by DOR

From: Physical examination tests of the shoulder: a systematic review and meta-analysis of diagnostic test performance

PETS category Single PETS No. of studies Pooleda results (95% CI) Accuracy rank Likelihood ratiosc
Sensitivity Specificity DOR Accuracyb positive/negative
SLAP Compression-rotation 2 0.43 (0.31, 0.56) 0.89 (0.67, 0.97) 6.36 (1.41, 28.59) 0.68 (0.59, 0.77) 1 3.91/0.64
Yergason 3 0.20 (0.13, 0.30) 0.92 (0.81, 0.97) 2.91 (0.94, 9.08) 0.59 (0.54, 0.65) 3 2.50/0.87
Anterior apprehension 2 0.74 (0.61, 0.84) 0.45 (0.35, 0.55) 2.29 (1.12, 4.69) 0.51 (0.51, 0.66) 4 1.35/0.58
Crank 2 0.46 (0.33, 0.60) 0.72 (0.54, 0.85) 2.18 (0.82, 5.78) 0.60 (0.49, 0.71) 2 1.64/0.75
Speed 3 0.20 (0.11, 0.32) 0.88 (0.73, 0.95) 1.73 (0.53, 5.65) 0.57 (0.49, 0.64) 5 1.67/0.91
Relocation 2 0.61 (0.48, 0.72) 0.47 (0.37, 0.57) 1.36 (0.69, 2.66) 0.53 (0.45, 0.61) 6 1.15/0.83
O'Brien 3 0.66 (0.55, 0.75) 0.36 (0.21, 0.55) 1.10 (0.46, 2.60) 0.50 (0.39, 0,60) 9 1.03/0.94
Bicipital groove tenderness 2 0.26 (0.17, 0.37) 0.74 (0.63, 0.82) 0.98 (0.47, 2.05) 0.52 (0.45, 0.59) 7 1.00/1.00
Kibler/anterior slide 2 0.10 (0.04, 0.23) 0.85 (0.73, 0.93) 0.61 (0.17, 2.23) 0.51 (0.44, 0.57) 8 0.67/1.06
SIS Hawkins-Kennedy 2 0.58 (0.50, 0.66) 0.67 (0.47, 0.83) 2.86 (1.14, 7.17) 0.60 (0.53, 0.68) 1 1.76/0.63
Neer 2 0.59 (0.52, 0.67) 0.60 (0.40, 0.77) 2.17 (0.91, 5.19) 0.59 (0.52, 0.67) 2 1.48/0.68
RCTd Any full thickness RCT 2 0.74 (0.39, 0.92) 0.77 (0.69, 0.83) 9.24 (1.99, 42.84) 0.76 (0.63, 0.88) NA 3.22/0.63
Supraspinatus full thickness only 2 0.60 (0.46, 0.72) 0.70 (0.61, 0.78) 3.50 (1.74, 7.02) 0.66 (0.58, 0.73) NA 2.00/0.57
Any RCT 3 0.60 (0.52, 0.68) 0.63 (0.55, 0.71) 2.63 (1.62, 4.27) 0.62 (0.56, 0.68) NA 1.62/0.63
  1. PETS physical examination tests of the shoulder, DOR diagnostic odds ratio, SLAP superior labrum anterior superior, SIS subacromial impingement, RCT rotator cuff tear
  2. aCalculated by a fixed effect model
  3. bBased on average prevalences: 0.456 for SLAP lesions tests, 0.767 for SIS tests and 0.422 for the RCT test
  4. cCalculated from pooled sensitivity and specificity
  5. dPooling was only possible for the Supraspinatus test (= Empty can test = Jobe's test); Weakness indicates positive test